Welcome to MaxillofacialSurgery.Wales

This site has been designed to support the specialty of Maxillofacial Surgery in Wales. If you are involved in the specialty please register in order to view the site content or add your own. The site uses the content management software to allow you to contribute. We hope that this will allow it to grow to fulfil your expectations and provide support as you work in the specialty.

It's easy to get started contributing to this website. Knowing some of ...

 

MaxillofacialSurgery.Wales is proud to host and provide booking and abstract workflow services to the Welsh Hospitals Dental Specialty Group. You can find the current abstract submission links as well as links to the Abstract Books since 2018 by following the Welsh Hospital menu.

 


 

 

Newport Maxillofacial DCT:

Dear SHOs

I am working as a SHO DCT (on-call post) in Newport Maxillofacial surgery. 

Its been a fantastic experience working here. I came into this job after a 1 year experience in maxfax. Job started with an induction where the department helped us acclimatise to the department and the hospital, which I found extremely helpful. There have been regular teaching from the staff grades and seniors with regards to dental and medical scenarios we face everyday at ...

 

Wales Trainee John Wells has scooped one of the five winning spots in a Wales-wide event, with his proposal to improve patient outcomes and experience.

John and the Maxillofacial team at Prince Charles Hospital in Merthyr Tydfil are celebrating victory in the latest Welsh Health Hack, an opportunity for health and social care workers to share the challenges facing them at work and then pitch and develop a solution.

Now in its fourth year, the Welsh Health Hack 2020 saw 24 teams – ...

Morriston Maxillofacial Dental Core Trainees:
What it's really like at Morriston Hospital as an OMFS junior doctor/dentist?

Dear future SHO's / Dental Core Trainee's (DCT2/3).

Welcome to this page. We, the 2018-19 cohort of Dental Core trainees (DCT2s and DCT3s) wanted to write a short bit of information for you for what the job actually entails and to give you a flavour of what to expect if you decide to apply for a job here in Swansea.

If you wish to contact one us personally, feel free ...

479 - The use of radiographic imaging for suspected midface fractures in the Accident & Emergency Department

N Gallagher CJ Lloyd
Presented by: Nicola Gallagher
Glan Clwyd Hospital

Introduction - Facial injuries frequently present in A&E where it has become common practice to request radiographic imaging prior to specialist referral. Facial bone x-rays are frequently requested if a midface fracture is suspected but previous studies indicate that only 30% of requests are justified. In response to requests for plain film imaging it has become common practice to take at least two occipitomental views (OM, OM30). There are studies demonstrating that a single OM30 view is sufficient, although computed tomography (CT) is now the gold standard. This study investigates the use of radiographic imaging for suspected midface fractures. Methods - Data was retrospectively examined for a 10-week period for the requests of facial bone imaging for suspected midface fractures. Results - There were 76 requests for plain film imaging (69 adults, 7 children), midface fractures were reported for 6 (8%) patients (all adults). The number of images taken varied; with one, two, three and four views taken for 12 (16%), 54 (70%), 10 (13%) and 1 (1%) patient respectively. There were 53 requests for facial CT (51 adults, 2 children). Midface fractures were reported for 17 (32%) patients (16 adults, 1 child), 10 of which were isolated nasal bone fractures. A&E doctors requested 97% of images, only 4 (3%) patients had an OMFS review prior to imaging. Conclusion - Radiographic imaging for facial injuries is common. A positive finding of a midface fracture from plain film imaging is low (8%). This could suggest that some requests are unjustified and radiographic imaging is potentially overused. Midface fractures were detected in 32% of facial CT, however 59% (n=10) of these were isolated nasal bone fractures for which radiographic imaging is not advised. These results have highlighted a potential need for an improved clinical pathway for suspected midface injuries. The result is a collaborative project between OMFS, A+E and Radiology that will improve patient care.
Consent Statement: There are no details on individual patients reported within the abstract.

Poster
Poster The use of radiographic imaging for suspected midface fractures in the Accident & Emergency Department